MedPath

Amphotericin B

Generic Name
Amphotericin B
Brand Names
Abelcet, Ambisome, Amphotec, Fungizone
Drug Type
Small Molecule
Chemical Formula
C47H73NO17
CAS Number
1397-89-3
Unique Ingredient Identifier
7XU7A7DROE
Background

Amphotericin B shows a high order of in vitro activity against many species of fungi. Histoplasma capsulatum, Coccidioides immitis, Candida species, Blastomyces dermatitidis, Rhodotorula, Cryptococcus neoformans, Sporothrix schenckii, Mucor mucedo, and Aspergillus fumigatus are all inhibited by concentrations of amphotericin B ranging from 0.03 to 1.0 mcg/mL in vitro. While Candida albicans is generally quite susceptible to amphotericin B, non-albicans species may be less susceptible. Pseudallescheria boydii and Fusarium sp. are often resistant to amphotericin B. The antibiotic is without effect on bacteria, rickettsiae, and viruses.

Indication

Used to treat potentially life threatening fungal infections.

Associated Conditions
Coccidioidomycosis, Fungal Infections, Histoplasmosis, Invasive Aspergillosis, Invasive Fungal Infections, Leishmaniasis, Meningitis, Cryptococcal, Meningitis, Fungal, Mucocutaneous Leishmaniasis, Mycotic endophthalmitis, Penicillium marneffei infection, Visceral Leishmaniasis, Candidal cystitis, Disseminated Cryptococcosis, Fungal osteoarticular infections, Ocular aspergillosis, Refractory aspergillosis, Severe Coccidioidomycosis, Severe Cryptococcosis, Severe Fungal infection caused by Basidiobolus spp., Severe Fungal infection caused by Conidiobolus spp., Severe Fungal infection caused by sporotrichosis spp., Severe Histoplasmosis, Severe Mucocutaneous leishmaniasis, Severe North American blastomycosis, Severe Systemic candidiasis

Safety and Efficacy Study of Inhaled AmBisome for Prevention of Aspergillus Colonization in Lung Transplant Recipients

Phase 2
Suspended
Conditions
Lung Transplant Recipient
Interventions
Drug: Regular standard of care medication
First Posted Date
2010-12-06
Last Posted Date
2011-10-19
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
4
Registration Number
NCT01254708
Locations
🇨🇦

University Health Network/ Toronto General Hospital, Toronto, Ontario, Canada

Phase III, Study of Three Short Course Combo (Ambisome®, Miltefosine, Paromomycin) Compared With AmBisome for the Treatment of VL in Bangladesh

Phase 3
Completed
Conditions
Visceral Leishmaniasis
Interventions
Drug: liposomal amphotericin B + paromomycin
Drug: liposomal amphotericin B + miltefosine
First Posted Date
2010-05-13
Last Posted Date
2016-01-21
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
602
Registration Number
NCT01122771
Locations
🇧🇩

Bhaluka UZHC, Bhaluka, Mymensingh, Bangladesh

🇧🇩

Gaffargaon, Gaffargaon, Mymensingh, Bangladesh

🇧🇩

Community Based Medical College, Trishal, Mymensingh, Bangladesh

and more 1 locations

Liver Transplant European Study Into the Prevention of Fungal Infection

Phase 3
Completed
Conditions
Liver Transplantation
Mycoses
Interventions
First Posted Date
2010-01-28
Last Posted Date
2024-11-18
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
350
Registration Number
NCT01058174

Value of Amphotericin B Inhalation for Prophylaxis of Invasive Pulmonary Aspergillosis After Renal Transplantation

Phase 4
Conditions
Invasive Pulmonary Aspergillosis
First Posted Date
2009-09-30
Last Posted Date
2009-09-30
Lead Sponsor
Capital Medical University
Target Recruit Count
400
Registration Number
NCT00986713
Locations
🇨🇳

Beijing Chaoyang Hospital,Affiliate of Capital Medical University, Beijing, Beijing, China

High-Dose Fluconazole for the Treatment of Cryptococcal Meningitis in HIV-Infected Individuals

Phase 1
Completed
Conditions
Cryptococcal Meningitis
HIV Infections
Interventions
First Posted Date
2009-04-22
Last Posted Date
2021-11-04
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
168
Registration Number
NCT00885703
Locations
🇺🇬

Joint Clinical Research Centre (JCRC)/Kampala Clinical Research Site, Kampala, Uganda

🇿🇦

Durban International Clinical Research Site CRS, Durban, KwaZulu-Natal, South Africa

🇺🇸

University of Southern California CRS, Los Angeles, California, United States

and more 7 locations

To Study the Effect Of Single Infusions Of Amphotericin B Lipid Preparations in Treatment of Patients Of Kala Azar

Phase 3
Completed
Conditions
Leishmaniasis, Visceral
Interventions
Drug: Amphotericin B Lipid emulsion
First Posted Date
2009-04-07
Last Posted Date
2011-06-02
Lead Sponsor
Bharat Serums and Vaccines Limited
Target Recruit Count
500
Registration Number
NCT00876824

Safety and Efficacy Study to Evaluate Different Combination Treatment Regimens for Visceral Leishmaniasis

First Posted Date
2008-06-13
Last Posted Date
2010-02-11
Lead Sponsor
Drugs for Neglected Diseases
Target Recruit Count
634
Registration Number
NCT00696969
Locations
🇮🇳

Kala-azar medical centre, Muzaffarpur, Bihar, India

🇮🇳

Rajendra Memorial research Institute, Patna, Bihar, India

CRITIC - Treatment of Candidemia and Invasive Candidiasis

Phase 4
Completed
Conditions
Candidemia
Invasive Candidiasis
Interventions
First Posted Date
2008-05-02
Last Posted Date
2009-03-27
Lead Sponsor
Gilead Sciences
Target Recruit Count
39
Registration Number
NCT00670657
Locations
🇮🇹

Gilead Sciences Srl, Milan, Italy

Single Infusion of Liposomal Amphotericin B in Indian Visceral Leishmaniasis

Phase 3
Completed
Conditions
Visceral Leishmaniasis
Interventions
First Posted Date
2008-03-05
Last Posted Date
2009-04-03
Lead Sponsor
Banaras Hindu University
Target Recruit Count
400
Registration Number
NCT00628719
Locations
🇮🇳

Kala-azar Medical Research Center, Rambag Road, Muzaffarpur, India

Antimicrobial PK in Infants With Suspected or Confirmed Infection

First Posted Date
2007-06-26
Last Posted Date
2012-11-19
Lead Sponsor
Duke University
Target Recruit Count
450
Registration Number
NCT00491426
Locations
🇺🇸

Children's National Medical Center, Washington, District of Columbia, United States

🇺🇸

University of Texas Southwestern Medical Center, Dallas, Texas, United States

🇺🇸

University of California at San Diego, La Jolla, California, United States

and more 3 locations
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